DR. KENNETH BYERLY (D.O.) – Emergency Medicine Physician, NPI 1023016607

DR. KENNETH BYERLY (D.O.) is a healthcare provider. based in Indianapolis, Indiana. specializing in EMERGENCY MEDICINE. They hold the professional credentials D.O.. They hold a License No. 02001355 (IN). The NPI Number for DR. KENNETH BYERLY (D.O.) is 1023016607

Main info

Male
36 Years Of Experience
Accepts Medicare Assignment
Name
DR. KENNETH BYERLY (D.O.)
NPI
1023016607
Phone
(317) 920-7195
Address
3630 GUION RD
Enumeration Date
8 July 2005
Last Update Date
7 August 2024

Doctor Profile

Medical School Name
AT STILL UNIVERSITY OF HEALTH SCIENCES, COLLEGE OF OSTEO MED, KIRKSVILLE
Secondary Phone
3177730760
Graduation Year
1990 (36 years ago)
PAC ID
0042371015
Group Practice PAC ID
1153216627
Professional Enrollment ID
I20081209000549
Address ID
IN460372838FI9690XSTXX403
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,268 EMERGENCY MEDICINE in IN

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Provider Addresses for DR. KENNETH BYERLY (D.O.)

  • Guion Road, Venerable Flackville, Indianapolis, Marion, Indiana, 46222, United States

    INDIANAPOLIS, IN 462221616

    Phone: (317) 920-7195

    Fax: (317) 920-7551

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2008-12-09

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20081209000549IEmergency MedicineINTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99284Emergency department visit with moderate level of medical decision making5553$0
99283Emergency department visit with low level of medical decision making1919$0
99213Established patient office or other outpatient visit, 20-29 minutes1414$0
99285Emergency department visit with high level of medical decision making1313$0
View full utilization report →

Insurance plans in this area (ZIP 46222)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1153216627View full group profile
NameSpecialtyState
-IL
Internal MedicineIL
Nurse PractitionerIN
-OH
Emergency MedicineIN
Orthopedic SurgeryIN
Physician AssistantPA
Emergency MedicineTN
Nurse PractitionerFL
O B S T E T R I C S/ G Y N E C O L O G YIN

Reviews

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Frequently asked questions

Can I verify DR. KENNETH BYERLY (D.O.) with an NPI only?
You can start verification with NPI 1023016607 for DR. KENNETH BYERLY (D.O.), then check state licensing separately.
Can I rely on DR. KENNETH BYERLY (D.O.) being an active provider?
As of the registry snapshot, DR. KENNETH BYERLY (D.O.) is marked active.
What is DR. KENNETH BYERLY (D.O.) best known for clinically?
Directory data describes DR. KENNETH BYERLY (D.O.) with Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
Where is DR. KENNETH BYERLY (D.O.) based?
DR. KENNETH BYERLY (D.O.) is tied to Indianapolis, Indiana in the data we show; additional addresses may exist on the full record.
Is the information about DR. KENNETH BYERLY (D.O.) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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